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LINDSEY LEE HENDERSON DREVECKY MD NPI 1609215151


NPI Information

NPI: 1609215151
Provider Name: LINDSEY LEE HENDERSON DREVECKY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: SANFORD BISMARCK

PECOS Registration: Yes

Address:
1040 TACOMA AVE
BISMARCK, ND
ZIP 58504
Phone: (701) 323-8961
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Lindsey Lee Henderson Drevecky, MD is a family medicine in Bismarck, ND with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Lindsey Lee Henderson Drevecky, MD NPI is 1609215151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1040 TACOMA AVE
BISMARCK, ND
ZIP 58504-452
Phone: (701) 323-8961

The NPI 1609215151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 10/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301103265MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training Program4301103265MICHIGANNo
3207Q00000XFamily Medicine14215NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.